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Paraliza glasnica

Gubitak mogućnosti pomaka jedne ili obje glasnice

Medicina > ORL - glas > Poremećaji > Paraliza glasnica

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Medicina > ORL - glas > Poremećaji > Paraliza glasnica

PARALIZA GLASNICA: GUBITAK MOGUĆNOSTI POMAKA JEDNE ILI OBJE GLASNICE

Paraliza glasnica je stanje u kojem se jedna ili obje glasnice izgube mogućnost pomaka. To se može dogoditi zbog povrede grla ili vrata, određenih kirurških postupaka, ili ponekad, zbog virusa.

Pareza glasnica je djelomična paraliziranost i može imati slične simptome.

TRAŽENJE UZROKA: OD VIRUSA DO OZLJEDA

Oštećenje živca često se javlja bez jasnog uzroka, no često se povezuje s infekcijama ili upalama dišnih puteva.

Virusni uzroci smatraju se mogućim faktorima. Ovo oštećenje obično ima povoljnu prognozu, s visokim stupnjem vjerojatnosti spontanog oporavka, često bez potrebe za posebnim tretmanom.

Tijekom pregleda, primjećuje se da se tijekom pokušaja stvaranja glasa jedna glasnica normalno kreće, dok druga ostaje nepomična ili pokazuje ograničene pokrete. Zdrava glasnica često “kompenzira” slabost druge strane pokušavajući dodatno prebaciti svoj položaj prema zahvaćenoj strani kako bi se uspostavila funkcija glasnica.

Unatoč tome, oštećenje živca često nastaje kao rezultat medicinskih postupaka, posebno kirurških intervencija u vratu ili prsištu. U takvim operacijama, živac može biti ozlijeđen u blizini mjesta gdje ulazi u grkljan, što ne mora nužno rezultirati potpunim prekidom, ali pritisak, rastezanje ili kompresija mogu poremetiti njegovu funkciju.

SIMPTOMI PARALIZE GLASNICA

Simptomi paralize i pareze glasnica mogu varirati, ovisno o položaju glasnica kad miruju i stupnju kompenzacije. Simptomi mogu biti slab glas popraćen čujnim istiskivanja zraka, otežano disanje, poteškoće pri gutanju tekućine, krute hrane i tableta, glasovni zamor i smanjena izdržljivost glasnica. To može imati značajan utjecaj na kvalitetu života.

MOGU LI SE GLASNICE OPORAVITI?

Čak i kada je živac prekinut, postoji mogućnost njegovog oporavka, što omogućuje povratak glasa pacijentu. Međutim, ovaj proces obično zahtijeva nekoliko mjeseci, a prognoza može biti neizvjesna.

Osim problema s glasom, pacijenti s glasnicom koja se slabo kreće često doživljavaju i poteškoće s gutanjem, posebno pri konzumiranju tekućina. Glasnice čine važan dio zaštitnog mehanizma koji štiti dišne putove od mogućeg ulaska hrane ili tekućine.

Tijekom gutanja, glasnice se refleksno snažno stežu kako bi zatvorile dišne putove.

LIJEČENJE PARALIZE GLASNICA

Liječenje paralize i pareze glasnica ovisi o mnoštvu čimbenika kao što su:

  • stupanj gubitka glasa,
  • glasovni zahtjevi,
  • prisustvo aspiracije,
  • simptomi otežanog disanja i
  • otežanog gutanja.

Postoji mogućnost za oporavak gibanja glasnica, a opcije liječenja se planiraju prema prognozama za oporavak, simptomima i individualnim potrebama.

U nekim slučajevima trebalo bi napraviti laringealnu elektromiografiju, jer može osigurati dodatne prognostičke informacije.

Druge opcije liječenja su promatranje i praćenje, vokalna terapija, i postupci augmentacije i medijalizacije glasnica.

NARUČITE SE NA PREGLED

U Poliklinici Lohuis Filipović svjesni smo koliko je vaš glas bitan za svakodnevnu interakciju s drugima. Upravo zbog toga primjenjujemo modernu tehnologiju i metode koje vaše glasnice vraćaju u formu.

Stoga, nemojte čekati da promuklost prirodno nestane, već se naručite na pregled još danas pozivom na broj +3851 2444 646, ili ispunjavanjem online obrasca.

Vaši stručnjaci

Glavni je cilj Poliklinike LF poboljšati kvalitetu života i zdravlje naših klijenata pružajući im vrhunsku zdravstvenu uslugu.

Vidi više

Doc.dr.sc. Boris Filipović, dr.med.

otorinolaringolog, subspecijalist plastične kirurgije glave i vrata, FEBORL-HNS, IBCFPRS

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J.Lj.

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I did rhinoplasty along with face tight treatment and the results were more than satisfactory. The guys (Boris and Peter) did everything at the same time, very professionally and in the shortest possible timeframe. I was out of tampons in 2 days, and my bruise recovery does not take longer than 7 days. Very gentle approach. Without unnecessary arrivals, with kind and friendly staff and arranging payments where flexibility was at an enviable level, the impression of service in this clinic is for every recommendation. Of course, I don’t even have to mention that my breathing is better now than before, and my facial skin is smooth and tight without any invasive method. Guys, you are the best. :)

A.P.

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I had unwittingly been suffering from hypopnea for nearly a decade. I did some research and I selected this clinic because it was located in a country where I have many friends. I had already been treated for this by a different physician in Canada, a surgery was done in my nose to remove an obstruction and believed it was better, but I was wrong. The Canadian doctor proposed dealing with the problem by CPAP or further surgeries. Their solution was to remove the first obstacle they find, see if that helps, if not, then remove the next obstacle etc. I had been using caffeine to stay awake, but my physical and mental performance was severely impacted by chronic sleep deprivation. At my first meeting, I was surprised to actually meet Dr. Filipovic, I presumed I would be looked after by an associate Doctor. I explained my suspicions and situation and told him, I do not want to go through multiple procedures to find one that worked. He listened, looked into my nose and proposed that I schedule and undergo a general anaesthesia, where he would be able to insert a camera and record what happens when I actually sleep. In addition I took home a wearable monitor for the night. After these diagnotics, it was found that a mandibular advancement device or CPAP would work for me. CPAP is not good for me because my young children would tear it apart. I had to leave Croatia earlier than planned, when I told his team. They moved heaven and earth to rush the casting, production and shipping of the device to me in Canada. Once I arrived here, his dentist responded to my emails to ensure I had proper guidance on how to adjust and use the device. It works wonderfully and with the clarity of thought that comes from regular sleep, I realized I should have a backup mandibular advancement device made, to use if my device is destroyed by my children. His team again did a wonderful job of using the casting I sent back to produce a 2nd set and ship it to Canada. I have tested the second device for a week now and it works as well as the first. I would highly recommend this team for their professional, courteous and effective effort. If, time & money allows and vanity demands, I would go to this team for a rhinoplasty in the future. Thank you all for improving my quality of life and work performance.

M.K.

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For so long I was dissatisfied with the breathing and the appearance of my nose. Of course the first step was to google rhinoplasty and read comments on forums of the people who did it in Croatia. That did not help because the amount of negative experiences only scared me. But I also read that the most important thing is to find a great surgeon so I finally went to meet with dr. Filipović. I met him, he explained the procedure and answered all my questions. On that first meeting I felt so confident that I even reserved a date for my surgery. Finally in November 2020 I had septorhinoplasty performed by dr. Filipović. They arranged that I stayed in the clinic for one day after the procedure. That really meant a lot, and I'm grateful for that. Recovery went fast and well, I almost had no bruising at all. I'm quite sensitive, so I felt some pain in the first 3 days after, but nothing too bad. It is now 2 months post-op and I look and feel better than ever. The result looks really natural, and it fits my face perfectly. The only regret that I have is that I didn’t do it sooner. Dr. Filipović is a miracle worker, and I will forever be grateful to him and his team.

M.G.

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I've done plasma skin regeneration and skin boosting treatment there. Clinic is beautiful, stuff is very friendly, young and with great knowledge and experience. I would recommend it to anyone who is looking high quality in every aspect. Thank you!

M.S.

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Prije mjesec dana bila sam na lip liftu kod dr. Filipovića. Rezultat je fantastičan, kao što je bilo i samo iskustvo konzultacija i operacije. Doktor i sestre profesionalni su i pristupačni i ulijevaju povjerenje. Lip lift je ispao super i izgleda prirodno, ali je dovoljno velika promjena da je utjecala na izgled cijelog lica. Oteknuće je splasnulo nakon otprilike tjedan dana, a ožiljak ispod nosa se mjesec dana poslije vidi, ali nije pretjerano upadljiv.
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